Psychosocial Burden among Family Caregivers of Schizophrenic Patients in Tertiary Care Hospital of Peshawar, Pakistan
DOI:
https://doi.org/10.36570/jduhs.2022.2.1198Keywords:
Schizophrenic patients, psychosocial burden, caregivers, Zerit Burden Inrerview ScaleAbstract
Objective: To assess the psychosocial burden of family caregivers of schizophrenic patients attending tertiary care hospitals of Peshawar Pakistan.
Methods: A cross-sectional study was conducted at psychiatric units of Lady Reading Hospital, Khyber Teaching Hospital and Hayatabad Medical Complex Peshawar from March 2019 to December 2019. Those family caregivers who had provided care to patients for at least 6 months were included. Psychological burden was assessed by using Zerit Burden Interview which included 22 questions, having options, 0 = Never, 1 = rarely, 2 = sometimes, 3 = quite frequently and 4 = nearly always. The scale categorizes psychological burden as 0-20 “no burden”, 21-40 “Mild to moderate” 41 to 60, “moderate to severe” and 61 to 80 “severe burden”.
Results: 118 caregivers, the mean age was 42.25 ± 13.8 years. There were 61 (51.1%) males and 57 (48.3%) females. Severe burden was observed in 55 (46.6%) patients. Severe psychosocial burden was 3.75 times significantly higher among males as compared to females (aOR 3.75, 95% CI 1.05 – 13.38). Chances of severe psychosocial burden were 4.79 times significantly higher among caregivers having monthly income of ≤ 40,000 PKR as compared to caregivers having monthly income of >40,000 PKR (aOR 4.79, 95% CI 2.05 – 11.16). Lastly, severe psychosocial burden was 3.45 times significantly greater among unemployed caregivers as compared to employed caregivers (aOR 3.45, 95% CI 1.35 – 8.84).
Conclusion: Majority of family caregivers experienced severe psychological burden. The higher psychosocial burden was identified among unemployed or low monthly income males.
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References
Zhou Y, Rosenheck R, Mohamed S, Ou Y, Ning Y, He H. Comparison of burden among family members of patients diagnosed with schizophrenia and bipolar disorder in a large acute psychiatric hospital in China. BMC Psychiatry 2016; 16:1–10.
doi:org/10.1186/s12888-016-0962-y
Tamizi Z, Fallahi-Khoshknab M, Dalvandi A, Farhnaz, Mohammadi-Shahboulaghi, Mohammadi E, et at. Caregiving burden in family caregivers of patients with schizophrenia: A qualitative study. J Educ Health Promot 2020; 9:1-6. doi: 10.4103/jehp.jehp_356_19
Martin-Carrasco M, Ndez-Catalina PF, Dominguez-Panchon AI, Gonc¸alves-Pereira M, Lez-Fraile EG, Mun oz-Hermoso P, et al. A randomized trial to assess the efficacy of a psychoeducational intervention on caregiver burden in schizophrenia. Eur Psychiatry 2016; 33:9–17. doi:10.1016/j.eurpsy.2016.01.003
Opare-addo MN, Mensah J, Aboagye GO. A Case of Schizophrenia in a young male adult with no history of substance abuse: impact of clinical pharmacists' interventions on patient outcome. Case Rep Psychiatry 2020; 2020:3419609. doi: 10.1155/2020/3419609
Hsiao CY, Tsai YF. Factors of caregiver burden and family functioning among Taiwanese family caregivers living with schizophrenia. J Clin Nurs 2015; 24:1546–56. doi:10.1111/jocn.12745
Nasr T, Kausar R. Psychoeducation and family burden in schizophrenia: A randomized controlled trial. Ann Gen Psychiatry 2009;8:1–6. doi: 10.1186/1744-859X-8-17
Kuchhal AK, Kuchhal A, Arya V, Pardal PK. Psychiatry a study of psychological stress and burden on caregivers of schizophrenic patients. Int J Contemp Med Res 2019;6:1–6.
Bademli K, Lök N. Feelings, thoughts and experiences of caregivers of patients with schizophrenia. Int J Soc Psychiatry 2020; 66;452–9.
doi: 10.1177/0020764020916211
Saeed A, Kiani S, Javed S. Caregivers of mentally ill patients: role of coping style and emotional intelligence. PAFMJ 2019; 69:665-70.
Miller S, Dell'Osso B, Ketter TA. The prevalence and burden of bipolar depression. J Affect Disord 2014; 169;S3–11. doi: org/10.1016/S0165-0327(14)70003-5
Shah STH, Sultan SM, Faisal M, Irfan M. Psychological Distress among caregivers of with of Patients with Schizophrenia. J Ayub Med Coll Abbottabad 2013; 25:27–30.
Akbari M, Alavi M, Irajpour A, Maghsoudi J. Challenges of family caregivers of patients with mental disorders in Iran: A narrative review. Iran J Nurs Midwifery Res 2018; 23:329–37. doi: 10.4103/ijnmr.IJNMR_122_17
Jeyagurunathan A, Sagayadevan V, Abdin E, Zhang Y, Chang S, Shafie S, et al. Psychological status and quality of life among primary caregivers of individuals with mental illness: a hospital based study. Health Qual Life Outcomes 2017; 15:106.
doi: 10.1186/s12955-017-0676-y
Bedard M, Molloy DW, Squire L, Dubois S, Lever JA, O'donnell M. The Zarit Burden Interview: A new short version and screening version. Gerontologist 2001; 41:652–7. doi: 10.1093/geront/41.5.652
Yu Y, Liu ZW, Tang BW, Zhao M, Liu XG, Xiao SY. Reported family burden of schizophrenia patients in rural China. PLoS One 2017; 12:1–18.
doi: org/10.1371/journal.pone.0179425
Das K, Washdev W, Kazi AN, Jat MI, Siddiqi MN, Rehman R. Living with schizophrenia: A cross-sectional study to measure family care burden. ISRA Med J 2019; 11:20–3.
Di Lorenzo R, Girone A, Panzera N, Fiore G, Pinelli M, Venturi G, et al. Empathy and perceived burden in caregivers of patients with schizophrenia spectrum disorders. BMC Health Serv Res 2021; 21:1–13.
Alexander G, Bebee CE, Chen KM, Vignes RM Des, Dixon B, Escoffery R, et al. Burden of caregivers of adult patients with schizophrenia in a predominantly African ancestry population. Qual Life Res 2016; 25:393–400.
Hidru TH, Osman MH, Lolokote S, Li X. Extent and pat-tern of burden of care and its associated factors among Eritrean families of persons living with schizophrenia: a cross-sectional study. BMJ Open 2016; 6:e012127.
Adeosun II. Correlates of Caregiver Burden among Family Members of Patients with Schizophrenia in Lagos, Nigeria. Schizophr Res Treatment 2013; 2013:1–7.
doi: org/10.1155/2013/353809
Kunwar D, Lamichhane S, Pradhan N, Shrestha B, Khada S, Gautam K, et al. The study of Burden of family caregivers of patients living with psychiatric disorders in remote area of Nepal. Kathmandu Univ Med J 2020; 18:144–8. doi: 10.3126/kumj.v18i2.33224
Ayalew M, Workicho A, Tesfaye E, Hailesilasie H, Abera M. Burden among caregivers of people with mental illness at Jimma University Medical Center, Southwest Ethiopia: a cross-sectional study. Ann Gen Psychiatry 2019.1-11.
Irfan B, Irfan O, Ansari A, Qidwai W, Nanji K. Impact of Caregiving on Various Aspects of the Lives of Caregivers. Cureus 2017; 9:8–13. doi: 10.7759/cureus.1213
Mahmoud S. Association between Burden of Care, and Resilience among Family Caregivers Living with Schizophrenic Patients. IOSR J Nurs Health Sci 2018; 7;42–55. doi:10.9790/1959-0702054255
Hsiao CY, Lu HL, Tsai YF. Caregiver burden and health-related quality of life among primary family caregivers of individuals with schizophrenia: a cross-sectional study. Qual Life Res 2020; 29:2745–57. doi.org/10.1007/s11136-020-02518-1
Shamsaei F, Cheraghi F, Bashirian S. Burden on family caregivers caring for patients with schizophrenia. Iran J Psychiatry 2015; 10:239–45.
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